Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.)
3500 SE Frank Phillips Blvd, Bartlesville, OK · Ascension · · NPI 1215914254
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $386.82 – $725.43 | 7 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $642.24 – $1,202.00 | 7 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $392.65 – $735.56 | 7 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $446.97 – $838.52 | 7 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $640.66 – $1,198.12 | 7 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $690.55 – $1,291.72 | 7 |
| Kidney function study CPT 78725 | not published | not published | $23.59 – $921.08 | 29 |
| Kidney imaging morphology CPT 78700 | $769.51 | $2,079.75 | $28.46 – $921.08 | 29 |
| Kidney imag w/bld flow multi CPT 78709 | $1,257.54 | $3,398.75 | $89.00 – $1,233.83 | 29 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $782.83 | $2,115.75 | $60.53 – $1,233.83 | 29 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $400.16 | $1,081.50 | $46.34 – $273.02 | 29 |
| Kit gene analys d816 variant CPT 81273 | $269.27 | $727.75 | $124.87 – $280.96 | 28 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $22,008.58 | $59,482.65 | $4,499.08 – $4,499.08 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $670.83 – $1,319.02 | 7 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $556.58 – $1,086.58 | 7 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $441.53 – $872.06 | 7 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $593.82 – $1,148.19 | 7 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $629.11 – $1,316.68 | 7 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $998.63 – $1,970.33 | 7 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $552.05 – $1,107.63 | 7 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $584.72 – $1,138.83 | 7 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $538.28 – $1,048.34 | 7 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $709.77 – $1,390.00 | 7 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $718.77 – $1,405.60 | 7 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $617.52 – $1,193.44 | 7 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $758.58 – $1,482.81 | 7 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $927.09 – $1,779.22 | 7 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $668.80 – $1,315.11 | 7 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $684.31 – $1,343.20 | 7 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $808.20 – $1,584.22 | 7 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,090.38 – $2,096.70 | 7 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,344.84 – $2,585.76 | 7 |
| Knee MRI (with and without contrast) CPT 73723 | $1,070.87 | $2,894.25 | $135.23 – $1,098.27 | 29 |
| Knee MRI (with contrast) CPT 73722 | $1,113.05 | $3,008.25 | $101.93 – $1,810.98 | 29 |
| Knee MRI (without contrast) CPT 73721 | $1,953.60 | $5,280.00 | $84.59 – $567.86 | 29 |
| Knee X-ray CPT 73564 | $303.22 | $819.50 | $13.80 – $259.34 | 29 |
| Kras gene addl variants CPT 81276 | $128.52 | $347.35 | $193.25 – $434.81 | 28 |
| Kras gene variants exon 2 CPT 81275 | $128.52 | $347.35 | $79.86 – $434.81 | 28 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $77.89 | $210.50 | $20.54 – $37.41 | 7 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $18.41 – $31.29 | 7 |
| Labioplasty 56800 CPT 56800 | not published | not published | $265.71 – $517.15 | 7 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $9.25 | $25.00 | $0.34 – $0.78 | 5 |
| Lactate dehydrogenase (ldh) CPT 83615 | $27.84 | $75.25 | $6.04 – $33.65 | 29 |
| Lactated ringers intravenous solution HCPCS J7120 | $48.56 | $131.25 | $1.61 – $21.29 | 5 |
| Lactic acid CPT 83605 | $163.91 | $443.00 | $11.20 – $26.03 | 29 |
| Lactoferrin fecal qualitative CPT 83630 | not published | not published | $19.70 – $108.04 | 29 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $19.63 – $108.04 | 29 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $1,372.47 – $2,679.36 | 7 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,194.65 – $2,327.57 | 7 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $1,311.87 – $2,552.22 | 7 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $2,131.47 – $4,134.88 | 7 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $2,259.68 – $4,387.62 | 7 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $1,850.15 – $3,615.39 | 7 |
| Laminotomy single cervical CPT 63040 | not published | not published | $1,536.89 – $2,952.38 | 7 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $1,436.98 – $2,745.67 | 7 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $648.00 – $2,817.36 | 6 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $8,377.30 | $22,641.35 | $43.86 – $64.33 | 5 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $1,363.63 – $2,634.13 | 7 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $1,036.28 – $1,946.94 | 7 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $1,314.80 – $2,468.77 | 7 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $973.90 – $1,910.27 | 7 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $949.78 – $2,367.36 | 7 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $799.73 – $1,518.69 | 7 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $699.54 – $1,377.51 | 7 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $479.61 – $903.26 | 7 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $1,242.18 – $2,441.47 | 7 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $1,567.47 – $2,933.65 | 7 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $1,442.17 – $2,700.43 | 7 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $1,702.29 – $3,291.68 | 7 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $1,678.48 – $3,152.85 | 7 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $8,183.00 – $8,183.00 | 5 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $1,514.34 – $2,842.39 | 7 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $8,183.00 – $8,183.00 | 5 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $1,000.39 – $1,938.35 | 7 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $1,356.23 – $2,543.64 | 7 |
| Laparoscopic proc CPT 45400 | not published | not published | $1,263.96 – $2,478.90 | 7 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $882.81 – $1,731.64 | 7 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $1,342.85 – $2,531.94 | 7 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $411.91 – $791.72 | 7 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $378.51 – $738.67 | 7 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $8,183.00 – $8,183.00 | 5 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $786.43 – $1,525.73 | 7 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $1,191.55 – $2,302.62 | 7 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $600.75 – $1,220.74 | 7 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $753.65 – $1,674.70 | 7 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $1,053.45 – $2,035.86 | 7 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $565.66 – $1,132.59 | 7 |
| Laparoscopy lysis CPT 58660 | not published | not published | $745.96 – $1,453.95 | 7 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $742.73 – $1,567.85 | 7 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $897.23 – $1,711.37 | 7 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $1,408.69 – $2,641.92 | 7 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $721.11 – $1,393.11 | 7 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $1,149.15 – $2,237.10 | 7 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $1,076.01 – $2,095.13 | 7 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $399.67 – $789.38 | 7 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $1,102.12 – $2,060.03 | 7 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $706.15 – $1,391.55 | 7 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $828.31 – $1,624.78 | 7 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $943.30 – $1,833.83 | 7 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $1,231.44 – $2,469.54 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.